Our Contact Info.
69 Albany Street
Portsmouth, NH 03801

(t) 877.525.1174
(f) 888.681.0987
Email Us
Quick Loan Application
borrower Info
name*
phone number*
email*
date of birth*
(mm/dd/yyyy)
marital status
co-borrower Info (if any)
name
phone number

date of birth
(mm/dd/yyyy)
marital status
property info
current address*
city*
zip code*
how long at this address*
type of home*
approximate mortgage balance*
current monthly payments*
do you have a prepayment penalty?*
include taxes & insurance*
annual property taxes*
annual homeowners insurance premium*
purchase date*
(mm/dd/yyyy)
purchase price*
value*
cost of improvements in the last 12 months
major repairs needed*
bedrooms*
bathrooms*
square feet
borrower employment
employer*
address*
city*
zip code*
type of business
position/title*
how long in same line of work?*
employed since*
(mm/yyyy)
income*
co-borrower employment
employer
address
city
zip code
type of business
position/title
how long in same line of work?
employed since (moth/year)
income
* fields required